Postpartal Family (Psychological Changes) Flashcards
What is a period of 6 weeks after delivery during which the reproductive system and body returns to normal?
Postpartum or Puerperium
What is another name for Postpartum or Puerperium?
4th Trimester of Pregnancy
Immediate postpartum occurs within
first 24 hours
Early postpartum occurs within
First week
Late postpartum occurs within
2nd to 6th week
What are retrogressive changes in the mother?
involution of uterus and vagina
What are progressive changes in the mother?
production of milk for lactation, restoration of the normal menstrual cycle, and beginning of a parenting role
Who came up with the three stages of Postpartum?
Reva Rubins
What are the three stages of Postpartum?
- Taking in
- Taking hold
- Letting go (taking over)
Taking in phase
Focused on ________
self
Taking in phase
dependent on others for ______ __ ______
help in care
Taking in phase
needs ___________
assistance
Taking in phase
__________ _________ difficult
decision making
Taking in phase
_________-_______-________ needs paramount
comfort-rest-food
Taking in phase
relives __________ experience
delivery
Taking in phase usually occurs __-__ days PP
2-3
Taking hold phase
Moving from ___________ to ______________
dependence to independence
How are the energy levels and the focus on infant in the Taking Hold Phase?
increased energy level; increased focus on infant
Taking Hold Phase
self care, focus on __________, bladder, ___________
bowels; breastfeeding
Taking Hold Phase
responds to _________, praise
instruction
The Taking Hold Phase lasts from ___ day to __ weeks PP
3rd day to 2 weeks
When does role transition occur in postpartum?
Letting Go Phase
The Letting Go Phase lasts from the ___ week to the ___ week
2nd week to the 6th week
Which of the maternal concerns and feelings involve feeling less important because the baby become’s everyone’s chief interest?
Abandonment
How can the couple alleviate the feeling of abandonment?
Making infant care a shared responsibility
Which of the maternal concerns and feelings make it difficult to feel positive immediately toward a child who does not meet their expectations?
Disappointment
Disappointment relief measures
Handle the child warmly, to show you find the infant ____________ or even ___________
satisfactory or even special
Disappointment relief measures
Comment on the child’s _______ _______, such as long fingers, lovely eyes, and healthy appetite
good points
Which of the maternal concerns and feelings involve 50% of women experiencing some feelings of overwhelming sadness?
Postpartal blues or “baby blues”
Postpartal blues may be caused by hormonal changes, particularly the decrease in _________ and ____________ that occurred with delivery of the placenta
estrogen and progesterone
When do postpartal blues occur?
First week or two after birth
Postpartum blues usually resolve naturally in __ to __ weeks
2 to 3 weeks
Postpartum Blues
Severe ________ can also occur in women during this time
psychosis
Postpartum Blues
_______________ has been shown to help elevate baby blues and counteract the effects of the hormonal drop that occurs after childbirth
Breastfeeding
Postpartum blues
Overconcern re: infant and self, and emotional lability are ________ during the first __-__ days after delivery
normal; 5 to 10 days
What is the maternal concern or feeling that involves rejection of infant, or fears that she may harm infant call for immediate intervention?
Postpartum Depression
What are some measures to treat Postpartum Depression?
- relaxation therapy
- rest and nutrition
- frequent contact with other adults
